| Eutierria Wellness | |
|
35 Industrial Tract Anx Hudson NY 12534-1505 | |
| (518) 291-8844 | |
| Not Available |
| Full Name | Eutierria Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 35 Industrial Tract Anx, Hudson, New York |
| Authorized Official Name and Position | Kristen Bernockie (OWNER) |
| Authorized Official Contact | 5186539699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eutierria Wellness 35 Industrial Tract Anx Hudson NY 12534-1505 Ph: (518) 291-8844 | Eutierria Wellness 35 Industrial Tract Anx Hudson NY 12534-1505 Ph: (518) 291-8844 |
| NPI Number | 1043908429 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 2466891197 |
|---|---|
| Medicare Enrollment ID | O20240415002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043908429 | NPI | - | NPPES |
| 07742996 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristen M Bernockie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891368080 PECOS PAC ID: 7113323643 Enrollment ID: I20210909001162 |
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